| NPI | 1740424431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BEALS Managing Director 201-996-2734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22D10100030) |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2009-04-24 |